| Autism And Behavior Services | |
|
3131 Quiet Creek Trl Chattanooga TN 37406-4009 | |
| (423) 664-0903 | |
| (423) 602-9710 |
| Full Name | Autism And Behavior Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3131 Quiet Creek Trl, Chattanooga, Tennessee |
| Authorized Official Name and Position | Laura Forkum (EXECUTIVE DIRECTOR/BEHAVIOR ANALYST) |
| Authorized Official Contact | 4236640901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism And Behavior Services 3131 Quiet Creek Trl Chattanooga TN 37406-4009 Ph: (423) 664-0903 | Autism And Behavior Services 3131 Quiet Creek Trl Chattanooga TN 37406-4009 Ph: (423) 664-0903 |
| NPI Number | 1093980278 |
|---|---|
| Provider Enumeration Date | 04/28/2008 |
| Last Update Date | 06/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093980278 | NPI | - | NPPES |
| 1509613 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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